The URL can be used to link to this page

Browse Search

Home My WebLink About20161638.tiffRESOLUTION RE: APPROVE SPECIAL EVENTS PERMIT AND AUTHORIZE CHAIR TO SIGN - THE WILD ANIMAL SANCTUARY WHEREAS, the Board of County Commissioners of Weld County. Colorado. pursuant to Colorado statute and the Weld County Home Rule Charter. is vested with the authority of administering the affairs of Weld County. Colorado. and WHEREAS, The Wild Animal Sanctuary presented to the Board of County Commissioners of Weld County. Colorado, an application for a Special Events Permit for the sale of malt. vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, said applicant has paid the sum of ONE HUNDRED DOLLARS ($100.00) to Weld County. Colorado, pursuant to the laws providing therefore in payment for a County Retail Permit for the sale of malt. vinous and spirituous liquors for consumption by the drink on the premises only, for events scheduled for 6:00 AM until 10:00 PM, on June 3 and 4. June 18, and October 1. 2016, outside the corporate limits of any town or city in the County of Weld at the location described as follows: Rocky Mountain Wildlife Conservation Center, Inc., dba Wild Animal Sanctuary, 1946 CR 53, Keenesburg. Colorado. 80643: being more fully described as Lot B of Recorded Exemption #2344. being part of the N1/2 NW1/4 of Section 28, Township 1 North, Range 64, West of the 6th P.M., Weld County. Colorado WHEREAS, said applicant has also paid the sum of TWENTY-FIVE DOLLARS ($25.00) to the Colorado Department of Revenue and has exhibited a State Special Events Permit for the sale of malt. vinous and spirituous liquors for consumption by the drink on the premises only. NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County. Colorado. having examined said application and the other qualifications of the applicant. does hereby grant Special Events Permit Number 2016-11 to said applicant to sell malt. vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said permit by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado. which permit shall be effective from 6:00 AM until 10:00 PM, on June 3 and 4. June 18, and October 1, 2016. providing that said place where the permitee is authorized to sell malt. vinous and spirituous liquors for consumption by the drink on the premises only. shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto. heretofore passed by the Board of County Commissioners of Weld County. Colorado, and any violations thereof shall be cause for revocation of the permit. (Az), 4/. 5-31Zap 2016-1638 LC0022 SPECIAL EVENTS PERMIT - THE WILD ANIMAL SANCTUARY PAGE 2 BE IT FURTHER RESOLVED by the Board that the Chair be. and hereby is. authorized to sign said application. The above and foregoing Resolution was. on motion duly made and seconded. adopted by the following vote on the 23rd day of May. A.D.. 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY. COLORADO ATTEST: WavetiL era: Weld County Clerk to the Board BY. 't-44.) uty Clerk to the Board AP'ROV D `S O FORM : Ilv kg,* 4 -County Attoe Date of signature: b 941 lb m,j=. =12,,� Mike Freeman, Chair Sean P. Conway. Pro-Tem eve Moreno 2016-1638 LC0022 DR 8428 (08/01/2012) COLORADO DEPARTMENT OF REVENUE 1881 PIERCE STREET, SUITE 108 LAKEWOOD, CO 80214 STATE OF COLORADO DEPARTMENT OF REVENUE VALID ONLY FOR THE ORGANIZATION AT THIS LOCATION THE WILD ANIMAL SANCTUARY 1946 COUNTY ROAD 53 KEENESBURG CO 80643 Permit Number: 4801780 Event Manager: PAT CRAIG SPECIAL EVENTS PERMIT MALT, VINOUS AND SPIRITOUS LIQUOR VALID ONLY FOR THE FOLLOWING PERIODS EVENT 1: 06/03/2016 6AM 10PM EVENT 2: 06/04/2016 6AM 10PM EVENT 3: 06/18/2016 6AM 10PM EVENT 4: 10/01/2016 6AM 10PM EVENT 5: This permit is issued subject to the laws of the State of Colorado and especially under the provisions of Title 12, Articles 46 or 47, CRS 1973, as amended. This permit is nontransferable and shalt be conspicuously posted in the place above described. This permit is only valid during the event date(s) shown above. In testimony whereof, I have hereunto set my hand. 5/26/2016 pjr Ock,evil SA,64t,t,„9/64-494--L Division Director Executive Director THIS LICENSE EXPIRES OCTOBER 1, 2016, AT 10:01 P.M. 1 eN License A amber 2016-11 License Pee $100.00 SP.EVENTS PERMIT BY -1L''1'1 lUltM' Oh ' ' .1111) UI`"1Y l:R FOR A SPECIAL EVENTS PERMIT TO SELL AT RETAIL MALT, VINOUS, AND SPIRITUOUS LIQUOR l'his is to Certify, The Wild Animal Sanctuary, of the State of Colorado, having applied for a Special Events License to sell malt, vinous, and spirituous liquors, and having paid to the County Treasurer the sum of One hundred (S100.00) Dollars therefore, the above applicant is hereby licensed to sell malt, vinous, and spirituous Liquors containing more than 3.2" Alcohol by weight, by the drink for consumption on the premises, at the address of 1946 CR 53, Keenesburg, Colorado, 80643, in the County of Weld, State of Colorado, for days only on June 3 and 4, June 18, and October 1, 2(116, from 6:00 a.m. until 10:00 p.m., unless this License is revoked sooner as provided by law. This license is issued subject to the Laws of the State of Colorado and especially under the provisions of Article 47 of Title 1.' Colorado Revised Statues, as amended. IN TESTIMONY WHEREOF, the Board of Count Commissioners has hereunto subscribed its name by its officers duly - authorized this 23rd day of May, 2016. The Board of County Commissioners riA/S lkrur) crk to chi lit arJ (.11:u -nun, tivarJ id( uthm (:.nnnuastuncr. lam- -' �' �' �' �" ' _ " "' "' /" �"' �' " ibLijernim.341) `��cccc�� _ � ccc TO BE POSTED IN A CONSPICUOUS PLACE. NON -TRANSFERABLE. DR 8439 (06/28/06) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET DENVER CO 80261 (303) 205-2300 APPLICATION FOR A SPECIAL EVENTS PERMIT Department Use Only IN ORDER TO QUALIFY FOR A SPECIAL EVENTS PERMIT, YOU MUST BE NONPROFIT AND ONE OF THE FOLLOWING (See back for details.) li SOCIAL • ATHLETIC IJ PHILANTHROPIC INSTITUTION IM FRATERNAL ❑ CHARTERED BRANCH, LODGE OR CHAPTER POLITICAL CANDIDATE II PATRIOTIC l• OF A NATIONAL ORGANIZATION OR SOCIETY MUNICIPALITY OWNING ARTS II POLITICAL RELIGIOUS INSTITUTION FACILITIES LIAB TYPE OF SPECIAL EVENT APPLICANT IS APPLYING FOR: 2110 ✓ MALT, VINOUS AND SPIRITUOUS LIQUOR $25.00 PER DAY 2170 FERMENTED MALT BEVERAGE (3.2 Beer) $10.00 PER DAY DO NOT WRITE IN THIS SPACE LIQUOR PERMIT NUMBER 1. NAME OF APPLICANT ORGANIZATION OR POLITICAL CANDIDATE The Wild Animal Sanctuary State Sales Tax Number (Required) 01451202-0000 2. MAILING ADDRESS OF ORGANIZATION OR POLITICAL CANDIDATE (include street, city/town and ZIP) 1946 County Road 53 Keenesburg, CO 80643 3. ADDRESS OF PLACE TO HAVE SPECIAL EVENT (include street, city/town and ZIP) 1946 County Road 53 Keenesburg, CO 80643 NAME DATE OF BIRTH HOME ADDRESS (Street, City, State, ZIP) PHONE NUMBER 4. PRES./SEC'Y OF ORG. or POLITICAL CANDIDATE Pat Craig, Executive Director 1946 WCR 53, Keenesburg, CO 80643 303-536-0118 5. EVENT MANAGER SAME 6. HAS APPLICANT ORGANIZATION OR POLITICAL CANDIDATE BEEN ISSUED A SPECIAL EVENT PERMIT THIS CALENDAR YEAR'? ✓ NO YES HOW MANY DAYS'? 7. IS PREMISES NOW LICENSED UNDER STATE LIQUOR OR BEER CODE'? V NO YES TO WHOM'? 8. DOES THE APPLIC NT HAVE POSSESSION OR WRITTEN PERMISSION FOR THE USE OF THE PREMISES TO BE LICENSED? Z Yes No LIST BELOW THE EXACT DATE(S) FOR WHICH APPLICATION IS BEING MADE FOR PERMIT Date Ma 4, 16 Hours From 6 a .m. 0 .m. Date June 3 & 4, 2016 Hours From 6 a.m. To 11.m. Date June 18, 2016 Hours From 6 a .m. To 1ggi.m. Date October 1, 2016 Hours From 6 a .m. To 1 gam. Date Hours From 6 a .m. To 1 Ckin. OATH OF APPLICANT I declare under penalty of perjury in the second degree that I have read the foregoing application and all attachments thereto, and that all information therein is orrect, and complete to the best of my knowledge. SIGNATURE TITLE Executive Director DATE 04/26/2016 R RT AND AP ROVAL OF LOCAL LICENSING AUTHORITY (CITY OR COUNTY) The foregoing application has been examined and the premises, business conducted and character of the applicant is satisfactory, and we do report that such permit, if granted, will comply with the provisions of Title 12, Article 48, C.R.S., as amended. THEREFORE, THIS APPLICATION IS APPROVED. LOCAL LICENSING AUTHORITY (CITY OR COUNTY) CITY Weld County, Colorado V COUNTY TELEPHONE NUMBER OF CITY/COUNTY CLERK (970) 356-4000 Ext 4225 SIGNAT - TITLE Chair, Board of County Commissioners DATE MAY 2 3 2016 DO NOT WRITE IN THIS SPACE - FOR DEPARTMENT OF REVENUE USE ONLY LIABILITY INFORMATION License Account Number Liability Date State TOTAL -750 (999) (Instructions on Reverse Size) 2016-1638 APPLICATION INFORMATION AND CHECKLIST THE FOLLOWING SUPPORTING DOCUMENTS MUST BE ATTACHED TO THIS APPLICATION FOR A PERMIT TO BE ISSUED: ✓ Appropriate fee. Diagram of the area to be licensed (not larger that 8 1/2" X 11" reflecting bars, walls, partitions, ingress, egress and dimensions. Note: If the event is to be held outside, please submit evidence of intended control, i.e., fencing, ropes, barriers, etc. Copy of deed, lease, or written permission of owner for use of the premises. Certificate of good corporate standing (NONPROFIT) issued by Secretary of State within last two years; or If not incorporated, a NONPROFIT charter; or If a political Candidate, attach copies of reports and statements that were filed with the Secretary of State. ✓ ✓ APPLICATION MUST FIRST BE SUBMITTED TO THE LOCAL LICENSING AUTHORITY (CITY OR COUNTY) AT LEAST THIRTY (30) DAYS PRIOR TO THE EVENT. THE PREMISES TO BE LICENSED MUST BE POSTED AT LEAST TEN (10) DAYS BEFORE A HEARING CAN BE HELD. (12-48-106 C.R.S.) AN APPROVED APPLICATION MUST BE RECEIVED BY THE LIQUOR ENFORCEMENT DIVISION ATLEAST TEN(10) DAYSPRIORTOTHE EVENT. CHECK PAYABLE TO THE COLORADO DEPARTMENT OF REVENUE (12-48-102 C.R.S.) A Special Event Permit issued under this article may be issued to an organization, whether or not presently licensed under Articles 46 and 47 of this title, which has been incorporated under the laws of this state for the purpose of a social, fraternal, patriotic, political or athletic nature, and not for pecuniary gain or which is a regularly chartered branch, lodge or chapter of a national organization or society organized for such purposes and being non profit in nature, or which is a regularly established religious or philanthropic institution, and to any political candidate who has filed the necessary reports and statements with the Secretary of State pursuant to Article 45 of Title 1, C.R.S. A Special Event permit may be issued to any municipality owning arts facilities at which productions or performances of an artistic or cultural nature are presented for use at such facilities. If an event is cancelled, the application fees and the day(s) are forfeited. SPECIAL EVENT PERMIT QUESTIONNAIRE AND AFFIDAVIT 1. What type of an event is planned (e.g., annual, quarterly, benefit, etc.)? Run/Walk Events & Dinners for fundraising purposes Explain in detail the nature of your organization, its function, and who or what benefits from its operations (attach separate sheet if necessary). Non -Profit Wildlife Sanctuary - Please see attached. 3. Who or what organization will be the recipient of funds derived from this event? The Wild Animal Sanctuary 4. How many attendees are expected at this event? 4,000 total between events 5. Describe the premises at which this event will take place. 720 -acres of open land with designated parking, stage, seating, bathrooms and vendor sales area. 6. What type of security will be provided at this event? Trained security guards, as well as staff and volunteers of the sanctuary 7 How many security personnel will be on hand? 23+ All staff and volunteers will wear safety orange attire 8. How will security personnel be identified? 9 If this event is being held outdoors, how will the exterior boundaries of the premises be marked (e.g., roped, fenced, etc.)? Fence boundaries and/or roped, coned and log barriers will be used. 10. What type of entertainment will be provided, if any, for this event? Various music artists, face painters & street acts 11. What method will be used in checking identification for proper age of attendees (e.g., at the door, at the bar, etc.) and how will underage patrons be identified so as not to be served alcoholic beverages (e.g., stamp or mark on the hand, etc.) ID at the bar as well as wrist bands M:1CTBICTBF0RMSIF0SPECIALEVENT.D0CSpecialEvent 12. How will the conduct and level of intoxication of attendees be monitored and by whom? Staff and volunteers will be positioned throughout the venue to monitor attendees. 13. Have volunteers or members of your organization been trained in the sale/service of alcoholic beverages: If yes, what training have they received and by whom? Only staff & volunteers that have worked professionally in liquor/bar/restaurant establishments will serve alcohol from booth. 14. What types of alternate beverages and food/snacks will be available? Soft drinks, water, burritos, beef entre, fruit, etc... 15. Has a State Sales Tax Number been initiated by you or a member of your organization? If so, write that number in the space provided. 01451202-0000 16. Explain how this event will be marketed describing what kinds of advertising material will be distributed and the targeted recipients of such material. Through the organization's newsletter, website, and social media pages (i.e. Facebook) as well as billboard and print advertisements I hereby certify, under • enalty of perjury, that the information provided to the Board of County Commissioners o v tel• ounty contained in this affidavit is true and accurate to the best of my knowledge. Apply g ature STATE OF COLORADO )ss COUNTY OF WELD 04/6/2015 Date fA Subscribed and sworn to before me this % day of Witness my hand and official seal. DIANA L EPPLE NOTARY PUBLIC - STATE OF COLORADO My Identification # 20 114065230 Expires October 11, 2019 My commis on expires: Notary uP Tic !`r l , 201h, lr� ))--/.6, M:ICTBICTBFORMSIFOSPECIALEVENT.DOCSpecialEvent WILD ANIMAL clinectI4 melt www.WildAnimalSanctuary.org Special Events for 2016 • Summer Safari Fundraising Dinner o May 14111, 2016 • 150-249 Supporters attend a catered dinner at the Sanctuary • Catered by University Of Northern Colorado Food Services �--� Wine & Seer Scrvcd RECEIVED APR 282016 WELD COUNTY COMMISSIONERS • "Into The Wild" Running Festival o June 3rd, 2016 • 150-249 Supporters attend a Friday Evening Dinner and Concert • Catered by Dave's BBQ • Beer Served o June 4th, 2016 • 2,000 Supporters attend Saturday morning 5k & 10K walk/run events and concert • Catered by University Of Northern Colorado Food • Beer Served • Summer Safari Fundraising Dinner o June 18th, 2016 • 150-249 Supporters attend a catered dinner at the Sanctuary • Catered by University Of Northern Colorado Food Services • Wine & Beer Served • Summer Safari Fundraising Dinners o October 1St, 2016 • 150-249 Supporters attend a catered dinner at the Sanctuary • Catered by University Of Northern Colorado Food Services • Wine & Beer Served WILD ANIMAL ccnctu twit www. W i IdAnimalSanc[uary.org Thursday, May 12, 2016 TO: Weld County Commissioners RE: Permission to Use Facility Commissioners, The Wild Animal Sanctuary has yearly special events for fundraising and public relations, and thus, utilizes its facility for these special occasions. The non-profit organization has the blessing of the Board of Directors and that of my office to hold these events on the Sanctuary's property. Sincerely, Pat C ra i g Executive Director The Wild Animal Sanctuary "Saving Captive Wildlife For Over 35 Years" 1946 County Road 53 * Keenesburg, CO 80643 * 303-536-0118 www.WildAnimalSanctuary.org WILD ANIMAL italcitvi _ Am/ wwW.VS ildAnimalSanctuary.org Thu Mai 12, 2016 r � TO: Southeast Weld Fire Protection District 1Z 1: Ambulance Services l'he Wild Animal Sanctuary 1946 \VCR 53 Keenesbu rg, CO 80643 Southeast Weld Fire Protection District, agrees to provide two EMT's and a Transport Ambulance for stand- by purposes, in accordance with Weld County Code. We will tone an additional ambulance if necessary if the need arises and make every attempt to remain on -site for stand-by medical care treatment to the Wild Animal Sanctuary for the following dates at a rate of $65 per hour: Friday June 3"'. 2016 - 6:00 PM to 9:00 PM June 4`h, 2016 - 7:00 A N/1 to 12.:00 PM Pat Craig Executive Director The Wild Animal Sanctuary "Saving Captive Wildlife For Over 35 Years 1946 County Road 53 * Keenesburg. CO 80643 * 303-536-0118 www.WildAnimalSanctuary.org WILD ANIMAL anctu�.r www. W i IdAn imalSanc[uary.org Thursday, May 12, 2016 TO: Weld County Commissioners RE: Trash Service For Events Commissioners, The Wild Animal Sanctuary has contracted with Waste Management Services to supply commercial trash service for the Sanctuary's 720 facility, and for all special events. This service is picked up twice per week and is sufficient to handle all trash generated from the facility. Sincerely, Pat Craig Executive Director The Wild Animal Sanctuary "Saving Captive Wildlife For Over 35 Years 1946 County Road 53 * Keenesburg, CO 80643 * 303-536-0118 www.WildAnimalSanctuary.org Esther Gesick From: Sent: To: Subject: Attachments: Hi Esther, Kent Drotar <kent@wildlife-sanctuary.org> Friday, May 20, 2016 2:18 PM Esther Gesick RE: Temporary Assembly/Special Events Applications - Monday, May 23, 2016 Copy of SA - DWRefuge 6-4.xls Here is the Service Agreement we have with S & B Porta-Bowl for the June 3 and 4 event. The other events (Summer Safari Dinners) will be held in our welcome center which has its own restrooms. Let me know if this doesn't work. All the best, Kent Kent Drotar sanctuary Ambassador Program p: 303.536.0118 e: kent@wildlife-sanctuary.org wildanimalsanctuary.org a: 1946 County Road 53, Keenesburg, CO 80643 Download our free app Av4etebie on the I App Store 0 S & B Porta-Bowl Restrooms www.sbprestrooms.com Service Agreement SA ORDER DATE 3/25/2016 X Name: NEW ACCOUNT EXISTING ACCOUNT ADD UNIT INC.SERVICE DEC. SERVICE OTHER Denver Wildlife Refuge Street Number: Street Name: City: State: Zip: Phone No. 303-536-0118 Contact: Becky Maitlin REGULAR RENTAL SPECIAL OCCASION Name: Wild Running Festival Street Number: Street Name: City: 1946 CR 53 C.O.D. TO BE BILLED ONE TIME CHARGE Keenesburg State: Zip: Phone No. Contact: PO:Number: UIPMENT ;S PECIFICATIOI QTY TYPE I FREQ SERIAL I SERIAL SERIAL 30 REG s/o 5 ADA s/o SCHEDULED DELIVERY DATE: Fri, 6/3 a.m. SPECIAL CLEANS: PICKUP Mon, 6/6 DELIVERY INSTRUCTIONS: DELIVERY COMPLETED BY: ACTUAL DELIVERY DATE: SERVICE DESCRIPTION ONE TIME CHARGE • Reg Qtyx$ 1 week Qtyx$ Disabled 5 Qtyx$ Tr Boxes Qtyx$ Sink Qtyx$ Heater Qtyx$ Qtyx$ Basic Service Rates $ Add'I Service Rate $ 01 06 Qtyx$ DELIVERY FEE $ $ - 30 Qtyx$ $ 76.00 SPECIAL OCCASIONS=$ $ 2,280.00 $ 106.00 Basic Service Rates $ 530.00 08 Add'I Service Rate $ Rental Fee=$ $ Rental Fee=$ $ Damage Waiver=5 $ Qtyx$ SPECIAL CLEANS=$ $ - SUB TOTAL $ I $ 530.00 TAX SUB TOTAL RATE $ 2,280.00 Paid % TAX $ TOTAL I $ 2,810.00 IF DAMAGE WAIVER IS DECLINED I decline the Damage Waiver, and I understand by declining I accept full responsibility for damage or theft on equipment from S & B Porta-Bowl Restrooms. Initials _ THIS AGREEMENT IS A LEGALLY BINDING CONTRACT ON THE PART OF BOTH S & B PORTA-BOWL AND CUSTOMER AND THEIR RESPECTIVE HEIRS, SUCCESSORS AND ASSIGNS IN ACCORDANCE WITH THE TERMS AND CONDITIONS ON THE REVERSE SIDE. S & B PORTA-BOWL RESTROOMS 7hankyou, RaecFieC By/Title CUSTOMER NAME: BY (SIGNATURE): PRINTED NAME $ TITLE: EFFECTIVE CONTRACT DATE: ACORN CERTIFICATE OF LIABILITY INSURANCE 4/26/2016 DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER Arthur J. Gallagher Risk Management Services, Inc. PO Box 4190 Estes Park CO 80517 CONTACT NAME: PHONE 970-586-4407 (A/C, No, Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE FAX 970-586-3370 (A/C, No): NAIC # INSURER A : National Casualty Company 11991 INSURED Rocky Mountain Wildlife Conservation Center dba 1946 Weld County Rd 53 Keenesburg CO 80643 ROCKMOU-34 INSURER B :Artisan & Truckers Casualty Company INSURER C : Pinnacol Assurance Company INSURER D :Owners Insurance Company INSURER E : 10194 41190 32700 INSURER F : COVERAGES CERTIFICATE NUMBER: 830819968 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY KKO0000020180200 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $300,000 MED EXP (Any one person) $Excluded PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $None X POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $5,000,000 OTHER: $ B AUTOMOBILE LIABILITY 01457146-2 4/1/2016 4/1/2017 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ A UMBRELLA LIAB X OCCUR XKO0000020180300 I 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N / A 4082811 7/1/2015 7/1/2016 PER STATUTE OTH- ER E.L. EACH ACCIDENT $100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $100,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT $500,000 D Commercial Auto 4872885400 4/1/2016 4/1/2017 CSL 1,000,000 DESCRIPTION General 6/4/16. OF Liability OPERATIONS extends / LOCATIONS / VEHICLES to: Summer Safari (ACORD Fundraising 101, Additional Remarks Schedule, Dinners 5/14/16, may 6/18/16, be attached 10/1/16 if more space and "Into is required) The Wild" Running Festival 6/3/16 - CERTIFICATE HOLDER CANCELLATION Weld County Weld County Commissioners 1111 H Street Greeley CO 806320758 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DR 0010 (0111&12} STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT LICENSE TO OPERATE A RETAIL FOOD ESTABLISHMENT ACCOUNT use for all references NUMBER LIABILITY INFORMATION ISSUE DATE LICENSE VALID DECEMBER TO 31 courly city J Indust. ]typal liability date month 1 day I year 14288280000 62 3273 1/1/1986 1/6/2016 2016 THIS LICENSE MUST BE POSTED AT THE FOLLOWING LOCATION: UNC FOOD COURT 20TH ST & I I TH AV G REELEY, CO 80639 weer UNC DINING SERVICES LICENSING AGENCY: WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT elittrev Wait/el TREVOR JIRI(,EK, M.A.E.S., DIRECTOR ENVIRONMENTAL HEALTH SERVICES ♦ Detach Here This certifies that licensee shown hereon is authorized and licensed to engage in business in accordance with the provisions of the law and regulations of the Colorado Department of Public Health and Environment. Any alterations made on this license will automatically make it nujl and void. POST IN A CONSPICUOUS PLACE OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF FACT OF GOOD STANDING I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, The Wild Animal Sanctuary, a Colorado Non -Profit Corporation is a Nonprofit Corporation formed or registered on 07/27/ 1995 under the law of Colorado, has complied with all applicable requirements of this office, and is in good standing with this office. This entity has been assigned entity identification number 19951094721 . This certificate reflects facts established or disclosed by documents delivered to this office on paper through 04/22/2016 that have been posted, and by documents delivered to this office electronically through 04/25/2016 @ 16:57:19 . I have affixed hereto the Great Seal of the State of Colorado and duly generated, executed, and issued this official certificate at Denver, Colorado on 04/25/2016 @ 16:57:19 in accordance with applicable law. This certificate is assigned Confirmation Number 9618577 Secretary of State of the State of Colorado *********************************************End of Certificate******************************************* Notice: A certificate issued electronically from the Colorado Secretary of State's Web site is flllly and immediately valid and effective. However, as an option, the issuance and validity of a certificate obtained electronically may he established by visiting the Validate a Certificate page of the Secretary of State's Web site, http.'//tt tt w.sos..Seale.co.us/bl /CertificaleSeurchCriteria.do entering the certificate's confirmation number displayed on the certificate, and following the instructions displayed. Confirming the issuance of a certificate is merely optional and is not necessary to the valid and effective issuance of a certificate. For more information, visit our Web site, http:// ►vww.sos.state.co.usi click "Businesses, trademarks, trade names " and select "Frequently Asked Questions." OFFICE OF THE SECRETARY OF STATE OF THE STATE OF COLORADO CERTIFICATE OF REGISTRATION I, Wayne W. Williams, as the Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, THE WILD ANIMAL SANCTUARY is a Charitable Organization registered to solicit contributions in Colorado as required by the Colorado Charitable Solicitation Act, Title 6, Article 16, C.R.S. This organization has been assigned a registration number of 20023003001. The status of its registration is GOOD, and this status has been in effect since 08/14/2015. The organization's registration is or was due to be renewed by 08/15/2016. Registrations in good or delinquent status remain valid until the registration becomes suspended or revoked. An organization whose registration has been suspended is prohibited by law from soliciting contributions, providing consulting services in connection with a solicitation campaign, or conducting a solicitation campaign in Colorado. This certificate reflects facts established or disclosed by documents delivered to this office electronically through 03/11/2016. IN TESTIMONY WHEREOF I have hereunto set my hand and affixed the Great Seal of Colorado, at the City of Denver on 03-11-2016 14:22:00 Secretary of State of the State of Colorado Notice: A certificate issued electronically from the Colorado Secretary of State's website is fully and immediately valid and effective. 1.250' Attachment A r i i i i i i i I Stage Seating Area 100' X 200' I - arm Ems a tip 5-4 - • U OctCt 1-4 14 i tt I I +=am O as _ U U 5, U V U i 1T X O U : U O O as O Fl W U II II II Sanctuary Land Z Colorado Highway 52 ■ Colorado Parks & Wildlife Banner Lakes Facility )94 "Into The Wild" Running Festival County Road 53 NORTH County Road 10 On -site Running course FENCED AREA County Road 8 (does not exist) Parking i .. EXPO & Food Area Sanctuary Entrance Medical Treatment Tent vir Race Start/ Finish Line County Road 6 - Vacated County Road 55 ■ Sanctuary Welcome Center Used as Sanctuary Driveway NOTICE PURSUANT TO THE LIQUOR LAWS OF COLORADO J9Th0._Cow _' 5 KeNESe _a HAS RE UE�-_._. OFFICIALS OF STED THE LICENSING T0� � , LICENSE AT'A�Y NEARING ON _APPLICATION TO JR HELD at0�_ ___._ TU115QNE „` OABY� 0 APPUCNT100; IJFFIC RS OF: WEB - ._.. 2®ib it .., etil:E*....--s..."S. 5.:::11tebegi-I) O O t- o o > o C � O U o -O o 0) CO o ADDRESS cc O N o m o O 2 PO Box 758 CN M Co O 00 O U 0 CD RECEIPT DATE 51-a f- &Di& "° 88719 RECEIVED FROM i/ic &LLI �a.ukai -14112C-44& ll'nc. IL44AL4 ‘- oo�too FOR Apa4 .4,6a6 Ewnt ilieljeartax) HOW PAID CASH 4 lex)CHECK �1 MONEY ORDER RECEIPT RECEIVED FROM ADD ESS FOR #S(D39 BY �i.� DATE S -/O - :2-p/(o •a • W PAID CASH ti CHECK *1OO .00 MONEY ORDER BY "° 88717 .tea„ MLA, �� iOO. MEMORANDUM TO: Esther Gesick, Clerk to the Board DATE: May 11, 2016 FROM: Janet Lundquist, Public Works SUBJECT: Temporary Assembly & Special Event- Wild Animal Sanctuary The Weld County Public Works Department has reviewed this proposal. Our requirements are as follows: REQUIREMENTS: 1. No parking will be allowed on Weld County Roadways. 2. The facility has adequate parking for the proposed event. 3. This area is not in a Special Flood Hazard Area (SFHA) as determined by the Federal Emergency Management Agency (FEMA). 4. The applicant has submitted an acceptable Traffic Control Plan (TCP) prepared by a certified Traffic Control Supervisor (TCS) for past events. Continue use of the previously approved Traffic Control Plans. 5. Please submit an Incident Action Plan for the Office of Emergency Management. Page - l - of 1 May 1 1, 2016 C:\Users\egesick\Appl)ata\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\7()SDTt1PR\Temp Assembly Special Event Wildlife Sanctuary 051 1 16.doc Esther Gesick ' From: Sent: To: Cc: Subject: Esther, Paul Wood Tuesday, May 10, 2016 1:16 PM Esther Gesick Paul Wood; Sam Kaneta III RE: Referral Request - Temporary Assembly / Special Events Permit Applications I have looked to see if the Weld County Sheriff's Office has had any significant reports/incidents with this business (Rocky Mountain Wildlife Conservation Center/The Wild Animal Sanctuary); at the address of 1946 WCR 53, Keenesburg, CO 80643. According to our Records Management System (Spillman) the Weld County Sheriff's Office has not responded to any significant law enforcement calls for service at this specific business/address in the last calendar year that would question their application requests. If you have any questions or concerns, please feel free to contact me. Sergeant Paul Wood Animal Control/Municipal Policing/School Resource Units Weld County Sheriffs Office t950 "O" Street, Greeley, CO 80631 pwood.@coaweid.co.us Ofc: (970) 356-4015 Ext. 2838 Fax: (970) 304-6468 "L3 e Strong and Courageous." From: Esther Gesick Sent: Tuesday, May 10, 2016 11:53 AM To: Frank Haug; Dan Joseph; Deb Adamson; Bethany Pascoe; Jose Gonzalez; Janet Lundquist; Paul Wood; Roy Rudisill Cc: Esther Gesick Subject: Referral Request - Temporary Assembly / Special Events Permit Applications Hello! In accordance with the procedure for processing Temporary Assembly and Special Events Liquor Applications, please review all records on the following document/establishment for any associated reports/incidents and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering the Applicant's Liquor License. NOTE: I have contacted the applicant and the 5/14 date will not allow alcohol, he will be submitting supplemental evidence of contracts for emergency response, toilet/waste service, will provide checks for $3,000 bond and $100 County Special Event Fee, and will pick-up and post the notification sign on 5/12. PLEASE RESPOND NO LATER THAN: May 19, 2016 1 Memorandum TO: Esther Gesick From: Dan Joseph DATE: May 16, 2016 SUBJECT: The Wild Animal Sanctuary Summer Concert Series In response to your request, Environmental Health Services has reviewed the Temporary Assembly Permit for The Wild Animal Sanctuary Summer Safari Series and Into the Wild running festival, located at 1946 CR 53, in Keenesburg, Colorado. At this time the Department does not have any concerns. Should you have any questions regarding this matter, please contact me at extension 2206 or via e-mail at dloseph4,co.weld.co.us. Thank you. cc: Cindy Salazar, Environmental Health Services Deb Adamson, Environmental Health Services Esther Gesick From: Sent: To: Subject: No concerns form building. Thanks Jose Gonzalez Assistant Building Official Building Department 1555 N 17th Ave Greeley, CO 80361 tel: 970-353-6100 x3533 Jose Gonzalez Friday, May 20, 2016 10:23 AM Esther Gesick RE: REFERRAL REQUEST: Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Esther Gesick Sent: Friday, May 20, 2016 10:13 AM To: Jose Gonzalez <jgonzalez@co.weld.co.us> Subject: RE: REFERRAL REQUEST: Thanks Jose! Also, do you happen to have any comments for the referral on the Temporary Assembly/Special Events Permit for the Wild Animal Sanctuary that is going before the Board on Monday? Esther E. Gesick Clerk to the Board 1150 O Street JP.O. Box 758IGreeley, CO 80632 tel: (970) 400-4226 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 Esther Gesick From: Sent: To: Cc: Subject: Roy Rudisill Friday, May 20, 2016 10:40 AM Esther Gesick; Bethany Pascoe Frank Haug RE: Temporary Assembly/Special Events Permit - Monday, 5/23/2016 No I check with the Response agencies and they are all fine with the event and do not see any issues. Roy Rudisill Director Office of Emergency Management 1150O Street 970-304-6540 Office 970-381-0417 Cell Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Esther Gesick Sent: Friday, May 20, 2016 10:18 AM To: Bethany Pascoe <bpascoe@co.weld.co.us>; Roy Rudisill <rrudisill@co.weld.co.us> Subject: Temporary Assembly/Special Events Permit - Monday, 5/23/2016 Any comments for these referral items for Monday? Esther E. Gesick Clerk to the Board 1150 OStreet /P.O. Box 758/Greeley, CO 80632 tel: (970) 400-4226 AgIS Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 1 MEMORANDUM To: Esther Gesick, Deputy Clerk to the Board May 20, 2106 From: Bethany Pascoe, Zoning Compliance Officer. Dept. of Planning Services Subject: LC0022 Upon review of the Special Events Permit and Temporary Assembly Permit by the Department of Planning Services shows the following: PERMIT INFORMATION: Rocky Mountain Wildlife Conservation Center Inc Dba The Wild Animal Sanctuary 1946 County Road 53 Keenesburg. CO 80643 Dates: June 3 & 4, 2016 6 am - 10 pm (Dinner) — Special Events Permit June 18. 2016 6 am - 10 pm (Dinner) — Special Events Permit October 1, 2016 6 am - 10 pm (Dinner) — Special Events Permit June 3 & 4. 2016 (5K and 10K) — Temporary Assembly Permit Maximum number of people: 3000 (for runs) — Temporary Assembly permit 249 for each Dinner (Special Events Permit) PROPERTY INFORMATION: Zone District: Agriculture Upon review of my case files and computer, no active violations were noted. STAFF COMMENTS: This use is permitted through an existing Use by Special Review (MUSR12-0007 and MUSR14-0016) permit. BCR16-00491 - 29,354 SF (2500 LINEAL FEET) ELEVATED STRUCTURAL STEEL WALKWAY ON COLUMNS ATTACHED TO WELCOME CENTER - INCLUDES 5350 SF UNCOVERED DECK AND 323 LINEAL FEET IN DOOR RAMP - UNDER REVIEW BCR15-01492 - 4687 SF TWO STORY COMMERCIAL BUILDING WITHIN EXISTING STRUCTURAL STEEL CLEAR SPAN COMMERCIAL STRUCTURE - RESTAURANT INCLUDING KITCHEN. FREEZER. RESTROOMS, DINING ROOM. & OFFICE AREA ON MAIN FLOOR & ADDITIONAL DINING AREA ON SECOND FLOOR ROOF DECK - ALL UTILITIES INCLUDED - NEW WELCOME CENTER — Expiration Date = 03/18/2017 BCR15-001491 - 2400 SF TWO STORY COMMERCIAL BUILDING WITHIN EXISTING COMMERCIAL STRUCTURAL STEEL CLEAR SPAN STRUCTURE - OFFICE SPACE & ICE CREAM SHOP INCLUDING SEATING AREA AND UNISEX RESTROOM ON MAIN FLOOR WI ADDITIONAL SEATING ON SECOND FLOOR - ALL UTILITIES INCLUDED - NEW WELCOME CENTER — Expiration Date: = 03/18/2017 BCR15-001490 - 3140 SF TWO STORY COMMERCIAL BUILDING WITHIN EXISTING COMMERCIAL STRUCTURAL STEEL CLEAR SPAN STRUCTURE - RETAIL AREA. INVENTORY STORAGE, & (1) UNISEX RESTROOM ON MAIN FLOOR & DINING AREA ON SECOND FLOOR - ALL UTILITIES INCLUDED - NEW WELCOME CENTER — Expiration Date = 03/18/2017 BCR15-001489 -4331 SF MEZZANINE ENTRY PLAZA IN EXISTING STRUCTURAL STEEL COMMERCIAL CLEAR SPAN STRUCTURE - FOR GATHERING AREA FOR VISITORS ENTERING THE MAIN STRUCTURE - NO UTILITIES - NEW WELCOME CENTER — Expiration Date = 02/04/2017 SERVICE, TEAMWORK, INTEGRITY, QUALITY BCR15-00489 - 3624 SF 2 -STORY INTERIOR FINISH OF COMMERCIAL BUILDING CURRENTLY UNDER CONSTRUCTION - INCLUDES UTILITIES - FOR COMMISSARY STAGING AREA AND PUBLIC RESTROOMS - 14X54 UNCOVERED ROOF TOP DECK - ROCKY MOUNTAIN WILDLIFE CONSERVATION CENTER - Expiration Date = 02/14/2018 BCR15-00466 - 1100 SF INTERIOR FINISH OF EXISTING COMMERCIAL BUILDING CURRENTLY UNDER CONSTRUCTION - FOR NORTHEAST RESTROOM AND NORTHWEST RESTROOM - INCLUDES UTILITIES - WELCOME CENTER - ROCKY MOUNTAIN WILDLIFE CONSERVATION CENTER — Expiration Date = 02/04/2017 BCR14-00909 - 48,000 SF STRUCTURAL STEEL WI CLEARSPAN FABRIC COMMERCIAL BUILDING ON SLAB - CORE & SHELL ONLY - ELECTRIC INCLUDED - WILL SUBMIT INTERIOR STRUCTURAL'S AT LATER DATE - FOR NEW WELCOME CENTER - ROCKY MOUNTAIN WILDLIFE CONSERVATION CENTER — Expiration Date = 07/19/2017 SERVICE, TEAMWORK, INTEGRITY, QUALITY The Wild Animal Sanctuary 1946 County Road 53 Keenesburg, CO 80643 303-536-0118 Security Features' Details on Baal. Colorado East Bank & Trust 550 E Woodward Ave Keenesburg, CO 80643 uPULL AND RETAIN THIS COPY BEFORE AFFIXING TO THE PACKAGE. NO POUCH NEEDED. VS O SicoE cc; W 'c0c� L E pi — ,•O a.) to co O >ooZ cn 4a 7ez, a) Vf (n S] w.- • L y d ell LI- m OO L1J Vn a--2 C.) O 23 O co a) CO a L-w-ovf `To most locations. Oa) y C5 WV) co C ru co co H ru u-) Cs- co X 0) wCa) dam` E LL U = 0 Z r 4-, L a) C L > O C m o� 0 co Ez 0oco co in co y 7 D -c -0 7 to' a) .n >-0 co m C • O _Q)>� to •O C -00.CI) > u' a) L > a) > CD To E 0 O L E_0 O=er L y. = CLcyQ C (n • E vyi O alila- LL- c Z n = L1J O - 0 E O LL Z L c - O C O co o 1 csit a) L O > co C/) co 0.cn 'O —6)a) * > .� co a) 0 'O-0> > y .0 0 CC 0'== N 2 c� • 0 O -0 ,D a a) _ LL cn enn 7 C I K O C 0 S ♦ Packages over 150 lbs. **To most locations. V W CA i }.r > i .n 7 C) .C) '� • um U. >b2 a (c y O N 0yvy ir C y X.N 0) Z UJ -n a) a) X a .≥ LLZ_CI O e S:a w.* :4 O' reg C co Q E O C-) FedEx 1 Day Freight Booking No. a) co co co F- O z m (7 O T c0 a to O } L i LL > >o cn Oa) Myl S W y 7 -o -O LL iE U -o a) ≥ a) a) = _O Y a) c y a) y n z' y m .≥ >-71) CV 0 V Q L Q)S F=- °) CO (ai) LL v y tyn a) (o a) C C 7 0 y ? � o Lb1Z) C 1II..LLJJL..!!! C O -o Og O a)c LLcno Declared value limit $500. L a) -C 4--• O O ui O LL X O CO CD LL •C a) Ca XX O V W pm > O LLLU NH Teal • 1 .7; C.) i CD CyCCa) U O CM= t_ •� O co m a a co II W c. C V sen aft CD 0 co co C ) t CO • C r • • N I Cr) -3 L O) O L LL > co Mx a) LL O C co N CO CO O a a) m LL J L C) a) > O LL a) LL a L C) co o CO cO a) Nx�( 0 LE >.,:_6 w stt 0s Si QQ Car 1;) en O S C) y ::::11:31:6::: L C mOCC c0 OOT= cn c0N y �V 'aC COO CC � A W 14- - oat! CD m co .a.z C a) -a N o t c }- C U O� a) y L E c,„0cn E O O L j, —C TD � 0 . O d? t— = C 4-0 CO 7 CO co C E to C3) a) o) V) co C S .- 0 0 )0., ZOO 0)), - 431 TEC 0 caf6y Al x00cno W O W O C> ics V) C C O) N I C f• C "O C :v .Co C -= • U t t X E CL C sH H N 6) C 0 C) Y X C O co co U O 0 a) y 7 � `a' - a O L O >- v) c O co -0 co O U L O Uco t CO c0'� L m n a CLCD (ICE >-acn 0 Z Dept/Floor/Suite/Room -‘p • Do glows y a) O U a_ N O a O CO a) X O 0 ti 0 a) Q) 0 O C C co U a) Cargo Aircraft Only C) C C) c0 Y U cO xa W t- -o a) a a L cn a) O 0 o y.C -0 O U Cr Co. CO U O 0) CO y C O Y a O 0 O S O aL; .C y CO a) co m _ 0 co 0 0 (n W ,, O a) LL ,-• ac - lre m Enter FedEx Acct. No. or Credit Card No. below. C- NJ L CO C) 0 C) L C...) C C) Q Ca O CC 4IPPl< -0 a, 6- 11. CS) 1 as tea CL' ifrus. Jr) 4 — co 0 O L (C 0 a) V) O (O Y 0 (o a_ EA y D v c a) tp ▪ a) c..) co a) 0) N LAI a, Y LL U C O CD O = CU U � O a){ C C a7 0 L = _c sr_ as N .N N m U 0 O Y U c0 0 .a > CO cu O C C_ C 09 8 C a O -a U a) a) = U t EZL = 0 M o co E co O ocoE 4— =(0 4.4 ES ca N 0 v 'Rt C C) is 1•. 0 a, i2pin CO Ca Ca ,; t M C7 •im• N be 0 •wr 04 •r. cat e um: num Rev. Date 2/08•Part #158279•©1994-2008 FedEx•PRINTED IN U.S.A.•SRS Hello